Federal RuleAug 21
62
DOL Rewrites Disability Rules for 'Merit-Based Opportunity' Push
RuleLabor DepartmentFederal Contract Compliance Programs OfficeSignificant Wallet
119-s-1960119th CongressWALLET
PEAKS Act
Sponsored By: Senator Capito, Shelley Moore [R-WV]
Introduced
Summary
Preserve Critical Access Hospital status for rural hospitals in mountainous or secondary-road areas and shift ambulance distance rules to 15 miles starting January 1, 2026. This bill would restore and extend a 15-mile standard for hospitals that previously met the mountainous-terrain or secondary-road distance test and would change ambulance distance rules for eligible areas.
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Shorter ambulance distance for rural Medicare
If enacted, Medicare ambulance rules in mountainous areas or where only secondary roads exist would change. Starting January 1, 2026, a 15-mile drive standard could apply for those ambulance services. Some hospitals that are Critical Access Hospitals as of enactment could be treated as meeting the 15-mile rule. They must show they met it at their last CAH certification, and deeming only applies if a new nearby facility is 10 to 15 miles away after enactment. The Secretary would have to issue rules to implement this within one year of enactment.
Sponsors & CoSponsors
Sponsor
Capito, Shelley Moore [R-WV]
WV • R
Cosponsors
Sen. Padilla, Alex [D-CA]
CA • D
Sponsored 6/5/2025
Sen. Justice, James C. [R-WV]
WV • R
Sponsored 6/5/2025
Sen. Schiff, Adam B. [D-CA]
CA • D
Sponsored 6/5/2025
Sen. Barrasso, John [R-WY]
WY • R
Sponsored 6/5/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov